Neurologist, Chennai

Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.

More about Dr. Jawahar

Dr. Jawahar is an experienced Neurologist in Chromepet, Chennai. Doctor is currently practising at Agash Nursing Home in Chromepet, Chennai. You can book an instant appointment online with Dr. Jawahar on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 42 years of experience on Lybrate.com. You can find Neurologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Dear Lybrate user, Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Take care.

I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.

Progressive sca at 59 years age is unusual and should trigger a search for various conditions: cerebrovascular disease, demyelinating disease, infectious diseases, vitamin deficiency, toxic exposure, sarcoidosis, autoimmune diseases (eg, sle, sjogren syndrome), and alcohol-induced cerebellar degeneration. Other diseases that can mimic this condition include late-onset spinocerebellar ataxia with or without a family history, olivopontocerebellar degeneration, and other degenerative diseases of the brain. The most problematic is paraneoplastic cerebellar degernation, even though it is slightly more common among women; in men, it may signal an occult small cell ca of the lung, or hodkgin lymphoma. Apart from the tests for the other conditions mentioned, a test for anti-yo antibody and a search for occult malignancy should be done. Treatment is by physiotherapy/gait therapy, and treatment for the underlying condition if possible.

There is no absolute cure for epilepsy if there is no identifiable cause for it. Most of the epilepsy are idiopathic - i. E. Without any known cause.
Anti epileptics given in a optimum dose and number can keep check on epilepsy.

You have not mentioned about your age and since when it is there? Their position in the roof of the third ventricle immediately adjacent to foramen of Monro can on occasion result in sudden obstructive hydrocephalus and can present with a thunderclap headache or unconscious collapse. Try KALI MUR 6X 4 pills 5 times a day (BIOCHEMIC).

Parkinson's disease is a neurodegenerative condition that affects your brain cells which produce dopamine and thus hampering all kinds of motor functioning and other emotional responses. After the disease is diagnosed, medication and therapy can help to provide relief from the symptoms to a large extent but a permanent cure is not possible.

Causes:

The disorder does not have a definite set of causes. A small percentage of the cases have been related to hereditary factors and others have a range of environmental causes associated with them.

1. Genetic factors:

Specific gene mutations and gene variations have been proved to cause Parkinson's, such as SNCA, PARK2, PARK7, PINK1 and LRRK2. These make or recycle proteins which are linked to the disease.

Research shows that men are at a 1.75 times greater risk of developing the condition than women are. Also, age plays a role with most cases occurring after the age of 60.

2. Environmental factors:

Regular exposure to inorganic insecticides, pesticides, herbicides and heavy metals or other toxins may cause the disorder. In rare cases, Parkinson's disease occurs in the aftermath of a severe head injury or immune disorders.

Parkinson's disease-kampavata
(a neurological disorder)
parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia.
When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of parkinson's disease eventually develop.
Parkinson? s disease prevalence:-
parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of parkinson's disease patients are diagnosed before they are 50 years old.
The prevalence of parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of parkinson's may have a higher risk of developing the disease, but parkinson's disease is rarely attributed to genetics alone.
Parkinson's disease symptoms
symptoms of parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The main symptoms of parkinson's disease include? tremors (kampam)- tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of parkinson's disease? rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of parkinson's? bradykinesia:- describes the unnaturally slow movements that are characteristic of people with parkinson's disease? poor balance- parkinson's disease affects balance, leading to difficulty walking and impaired coordination.
The symptoms of parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended.
The outlook for people with parkinson's disease
parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly.
Each individual's situation is different, but in general, the first symptoms of parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body. Movement of symptoms to the other side of the body? tremors that become more pronounced and interfere with activities? bradykinesia, or slow movement, that becomes disabling? difficulty with hand writing? impaired swallowing and chewing? speech that becomes monotone? poor balance and repeated falls? slow, shuffling gait (manner of walking)? stooped posture? facial expressions that become stiff and blank? chronic constipation? poor bladder control? sleep disturbances
this progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression.
Ayurveda treatment:
there is cure for parkinson's disease with ayurveda treatment, with ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible.
As far as parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.

Periods ke time aids ka khatra jyada hota hai, condom hamesha use karna chahiye, migraine me normal painkillers kha sakte ho par doctor job dikhana jaruri hai, masturbation once or twice daily will not affect you but if you do more than that then it will affect you.

Dear Lybrate User,
*A common neurological syndrome, Migraine is characterized by altered bodily perceptions, severe pounding headaches, nausea and irritability. This pounding or pain usually begins in the forehead, the side of the head or around the eyes and gradually gets worse. Bright lights or loud noises can worsen the condition. The headache can last for two hours or even up to two or three days.

Towel Hamstring Stretch
Lie on the back, supporting the thigh with the hand or with a towel wrapped around it..
Slowly straighten the knee until a stretch is felt in the back of the thigh, trying to get the bottom of the foot to face the ceiling, one leg at a time.
Hold the position initially for 10 seconds, and gradually work up to 20 to 30 seconds.
Seated Hamstring Stretch
While sitting at the edge of a chair, straighten one leg in front of the body with the heel on the floor.
Then, sit up straight and try pushing the navel towards the thigh without leaning the trunk of the body forwards.
Hold this stretch for 30 seconds
Repeat 3 times for each leg.

If you look for one time permanent cure for this, it is not possible, but yes a long term holistic life style management can control this effectively for rest of your life and free you from fear of tia recurrence

1. Take crocin Pain relief one Tablet sos after food up to a maximum of three tablets daily at the time of attack, apply ice pack, massage scalp/temple
2. Drink plenty of water and take rest.
3. Avoid stress, anxiety, depression, agitation, exposure to loud noise, bright light, strong smell inadequate sleep, continuous use of cell phone since it precipitates migraine attack
4. Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho (red wine)/caffeinated beveragesl. Don’t skip/postpone your meal, avoid hunger since it triggers the attack
5. Go for regular exercise, reduce weight if over weight
6. Practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress
7. If You have chronic migraine, you have to take migraine prophylaxis like propranolol/ vasograin after consulting physician
8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain.

Please use -- Natural aphrodisiacs which can improve your libido and prevent premature ejaculation. This would include carrots, fennel seeds, celery, bananas, garlic, onion, ginger, shellfish, lettuce etc. - Including these foods in your daily diet will ensure that you remain free from sexual problems, including premature ejaculation. Also take a dose of Acid Phos 1M/single dose and revert after 2 weeks.
Avoid watching porn.
Limit masturbation to once a week only.
Continue treatment.

Migraine can be managed with lifestyle changes and medications, try muscle relaxation exercises.
Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night.
It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed under supervision, also may prevent migraines or reduce the frequency of headaches.
Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines.

Do weight bearing exercises
Do theraputty activities
Do ball squeezing activity multiple times
Do resistive exercises for hand & wrist with gradual increase of weight; start with 1/2 kg weight cuff or 1/2 litre water bottle can also be used

Parkinson's disease-KAMPAVATA
(A Neurological Disorder)
Parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have Parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia.
When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of Parkinson's disease eventually develop.
Parkinson? S Disease Prevalence:-
Parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of Parkinson's disease patients are diagnosed before they are 50 years old.
The prevalence of Parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of Parkinson's may have a higher risk of developing the disease, but Parkinson's disease is rarely attributed to genetics alone.
Parkinson's Disease Symptoms
Symptoms of Parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The Main symptoms of Parkinson's disease include? Tremors (Kampam)- Tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of Parkinson's disease? Rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of Parkinson's? Bradykinesia:- describes the unnaturally slow movements that are characteristic of people with Parkinson's disease? Poor balance- Parkinson's disease affects balance, leading to difficulty walking and impaired coordination.
The symptoms of Parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended.
The Outlook for People with Parkinson's disease
Parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly.
Each individual's situation is different, but in general, the first symptoms of Parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body. Movement of symptoms to the other side of the body? Tremors that become more pronounced and interfere with activities? Bradykinesia, or slow movement, that becomes disabling? Difficulty with hand writing? Impaired swallowing and chewing? Speech that becomes monotone? Poor balance and repeated falls? Slow, shuffling gait (manner of walking? Stooped posture? Facial expressions that become stiff and blank? Chronic constipation? Poor bladder control? Sleep disturbances
This progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression.
Ayurveda Treatment:
There is cure for Parkinson's disease with Ayurveda treatment, With Ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with Parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible.
As far as Parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.

This is transient insomnia it may be due to any of following conditions
1. Stress and depression
2. Changes in sleeping environment
3. Drugs
4. Excess of heat or cold, excess noise
5. Jet lag syndrome, night shifts
First you have to rule out any such cause, Homoeopathic medicines will give you a quick relief with no side effects.